EP2975973A1 - Procédé et dispositif de fabrication d'un dispositif de soutien - Google Patents

Procédé et dispositif de fabrication d'un dispositif de soutien

Info

Publication number
EP2975973A1
EP2975973A1 EP14719194.4A EP14719194A EP2975973A1 EP 2975973 A1 EP2975973 A1 EP 2975973A1 EP 14719194 A EP14719194 A EP 14719194A EP 2975973 A1 EP2975973 A1 EP 2975973A1
Authority
EP
European Patent Office
Prior art keywords
support layer
support
patient
scanned
scanner
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP14719194.4A
Other languages
German (de)
English (en)
Other versions
EP2975973B1 (fr
Inventor
Rudolf Stonawski
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP2975973A1 publication Critical patent/EP2975973A1/fr
Application granted granted Critical
Publication of EP2975973B1 publication Critical patent/EP2975973B1/fr
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47C—CHAIRS; SOFAS; BEDS
    • A47C31/00—Details or accessories for chairs, beds, or the like, not provided for in other groups of this subclass, e.g. upholstery fasteners, mattress protectors, stretching devices for mattress nets
    • A47C31/12—Means, e.g. measuring means for adapting chairs, beds or mattresses to the shape or weight of persons
    • A47C31/126—Means, e.g. measuring means for adapting chairs, beds or mattresses to the shape or weight of persons for chairs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1043—Cushions specially adapted for wheelchairs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet

Definitions

  • the invention relates to a method for producing a body-adapted support device, wherein the affected body part (s) of a person, such. the back,
  • desired support devices can be made only for people who are not hindered in principle and stand independently, sit or lie down. There is one
  • Error source lies in the fact that even with a self-contained sitting of the respective person, this free seating position, which is, for example, the back, is different than in the case when the person leans his back against a backrest.
  • this free seating position which is, for example, the back
  • the production ei ⁇ ner seat of a seat for the person lies in the fact that even with a self-contained sitting of the respective person, this free seating position, which is, for example, the back, is different than in the case when the person leans his back against a backrest.
  • the production ei ⁇ ner seat of a seat for the person is, for example, the back.
  • EP 1082924 Al further discloses a method for the manufacture ⁇ development of a vehicle seat, the cushion is adapted to the body shape of the user. To this end, the body shape is further processed derivativenom ⁇ men and computerized.
  • a 3D laser technology or a CCD video camera is used, for example.
  • this approach is only suitable for appli ⁇ -making in healthy people.
  • Another method used in practice is to place in a seat frame a so-called vacuum pad, which is filled with loose granules for the purposes of mold fixation and placed under negative pressure during "molding."
  • this vacuum pad an impression of the respective patient, for example in the Back and hip area, provided by placing the patient on or in the vacuum pad, after which the patient must be lifted out of the vacuum pad, after which the vacuum "impression" pad is poured with plaster.
  • Wheelchairs come into question. Furthermore, a large amount of time of one to one and a half hours is required to obtain data or a plaster cast in order to then produce the body-adapted seat shell (or general support device) can. Moreover, during the molding process, no checking of the seating position is possible, and a check of the seat adjustment Results in the back and hip area is basically possible only after lifting the patient out of the vacuum pad.
  • the invention provides a method as defined in independent claim 1.
  • the invention also provides an apparatus for carrying out the method according to the invention, wherein this apparatus is characterized by the features cited in claim 12.
  • the inventive method is thus characterized in the first Li ⁇ never by the fact that the respective body part is scanned with a Scan ⁇ ner, preferably hand-held scanner, substantially in that position, which is given when using the support device, and this the body part during the scanning is supported in the ⁇ this support position by means of a flexible, conforming to the body part support position, wherein the support layer is suspended on a frame and the body part is scanned on the outside of the support layer.
  • the device according to the invention is characterized by a frame with at least one support on which a flexible, is suspended on the scanned body part of a subject conforming support layer via a plurality of adjustable tension elements.
  • the seat adjustment result eg in the back and hip, are checked during scanning can, and will result in the review of the seating position during the "Abformungsvorgangs" erroneous results vermie ⁇ .
  • the time required for recovering the 3D Data is much shorter than in the known procedures, wherein
  • Another advantage of the present procedure in the manufacture of braces or orthoses is also the achievement of a high accuracy, in the millimeter range and even in the tenth of a millimeter range.
  • the achieved accuracy naturally depends on the circumstances and objectives, as well as on the scanner used and also on the support layer used, which should be as thin as possible in order to achieve the 3D scan with the scanner as faithfully as possible, in accordance with the shape of the spine , the hip area, etc. of the patient to perform.
  • the support layer has the Pa ⁇ tienten in the intended position, such as when sitting, support and contribute to. In fact, especially in severely disabled patients, it is expedient if the person's back and buttocks are securely supported in the correct sitting position with the aid of the support position and are scanned in this position.
  • a good compromise between a thin support layer and a corresponding load-bearing capacity is achieved if - as is preferred - a support layer is used which at least partially ⁇ consists of latex or neoprene material, or if a Support layer is used, which consists at least partially of a thermoplastic elastomer, or when a support layer is used, which consists at least partially of a fabric, such as a silk fabric. It is also possible to combine several such materials together in a supporting position. For example, it is advantageous if a two-part support layer with two side support members and an intermediate central support member is used. It is also provided with advantage if the middle support member consists of a compared to the two side support parts "stiffer" material, the middle support member may consist of silk fabric and the side support parts such as latex.
  • the surface of the support layer may also be adjusted, e.g. by a corresponding coloring and / or structuring.
  • the design of the stand or the support to which the supporting ⁇ position is suspended depends also on the respective circumstances, such as whether a support only the back of a patient, or even the sides of the patient's upper body, the H Commonbe ⁇ rich, the thigh areas, etc. is required, but also how heavy the patient is. Above all, it can be favorable for a reliable support and a good nestling of the support layer, when the support layer is provided with fixable around the subject around fixing elements. It is further advantageous if the fixing elements have locking elements on the side remote from the support layer. It is also advantageous here if the fixing elements are fastened in edge-side openings or tabs of the support layer.
  • the support layer has thigh extensions extending away from a main part.
  • an advantageous embodiment is also distinguished by the fact that the support layer is set up in the operating position to form a cup on the subject.
  • FIG. 1 diagrammatically a sitting in a seat-like support position patient, the suspension for the support position has been omitted for the sake of clarity, and schematically ⁇ table for scanning the back, etc. at the back of the outside of the support layer scanner used here in Form of a hand-held scanner, including computer connected thereto;
  • Figures 2A, 2B and 2C are similar rear perspective views as Figure 1 of three other forms of support for supporting a patient, but with the scanner and calculator omitted for simplicity;
  • 3A and 3B is a diagrammatic view obliquely from the front (Fig. 3A) and obliquely from behind (Fig.
  • 3B an embodiment of a device for supporting a patient during the scanning of his back, hip and thigh sections , wherein the accessibility of these areas of the patient ⁇ body to be scanned is visible, as well as the suspension of the support layer on a frame of the device; 4A, 4B and 5A, 5B in comparable perspective oblique views of two further embodiments of the device for supporting a patient in a support position, which is suspended on a frame, wherein the free access to the back, to the bottom and to the side areas of the Patient is given for scanning; and
  • Fig. 6 is a view of a simple, planar support layer having on ⁇ h briefly- or tension elements.
  • FIG. 1 is a diagrammatic view of a patient 1, for example, with a disability such as in particular a paraplegic, sitting in a supportive supporting him 2 position shown obliquely from behind. Further illustrated by which the rear, Untersei ⁇ te and side portions of the support layer 2, which closely conforms to the patient's body 1 and is correspondingly thin, sampled dimensional ⁇ , ie, "as an example, a commercially available per se hand scanner 3 "scanned,. the manual scan ⁇ ner 3 is connected to a computer 4, for example a notebook, connected via a cable 5.
  • a computer 4 for example a notebook, connected via a cable 5.
  • the appropriate software for the scanner 3 is saved to the Sustainer ⁇ requested Receive samples in accordance with the 3D form and prepare them in a manner known per se, so that later these data are used for the production of a seat shell (in general: support device) in accordance with the scanned form adapted to the corresponding body regions of the patient 1 with the aid of a molding device. tion, as is known, is made possible. In this way, for example, as a support device, a seat shell for a wheelchair, but also for a motor vehicle or for a chair or armchair based on the scanned 3D data in a conventional manner can be produced.
  • FIG. 2A in a representation similar to FIG. 1, but without scanner 3 and computer 4, a seated in a support layer 2 patient 1 is shown, wherein the support layer 2 is modified compared to that of FIG. 1, as in the head and Nackenbe ⁇ rich the support layer 2 a recess 2A is provided.
  • the support layer 2 is in one piece and has on the thigh bottom fitting leg parts with slots or the like. Openings 2 'for receiving locking straps, cf. also the belt-like fixing elements 9 in the upper body region of the patient 1, to attach the support layer 2 by enclosing the front of the upper body firmly on the patient 1. Also there are comparable openings (slots) or tabs 2 'present. At the upper edge of the support layer 2, there are holes 8 and slot-shaped openings 8 ', in order to attach tension elements explained in more detail below with reference to FIGS. 3 to 5.
  • a support layer 2 is also shown in a one-piece embodiment in a comparable view, to support a patient 1 in a sitting position.
  • a patient 1 in a support layer 2 is shown in a comparable diagrammatic oblique view from the rear, which now consists of two parts 6, 7. In detail, this has
  • the two sides tengraftile 6 which are bendable ⁇ more slowly in comparison to the central support part 7, made for example of latex; the middle support member 7 may, however, for example, consist of silk fabric.
  • the thickness of the support layer 2 can be about 0.5 mm;
  • rayon such as is used for hanging ⁇ mats
  • vinyl material such as is used for waterbeds, neoprene or plasticized Ge ⁇ weave and more generally plastic films
  • said the thickness of the support layer 2 can be about 0.5 mm;
  • thinner support layers or slightly thicker Stützla ⁇ gen It is only important that the support layer 2 is so thin that it closely conforms to the body of the patient 1 and images this body with virtually no shape distortion or reproduces for scanning.
  • Supporting layer 2 are mounted and extend around the front of Pa ⁇ patient 1 around and thereby have suitable front-side closing elements 10 (s., Fig. 3A) for tightening the belt-fixing elements 9.
  • Such fixing elements 9 can, as further shown in FIGS. 3A and 3B, also be provided in the region of the thighs.
  • FIG. 3A and 3B show a first embodiment of a device 11 for "suspending" the patient 1 with the aid of the support layer 2, for example in accordance with Fig. 2C .
  • This device 11 has a frame 12 with a base 13 on telescopically movable rear uprights 14 are arranged to be movable in a longitudinal direction of the base 13 realized with two rails 13A, 13B.
  • front upright supports 15 are provided for the legs of the patient 1, which are preferably likewise movable in the longitudinal direction of the rails 13A, 13B and likewise designed as telescopic uprights. Between these supports 15, the lower front of the seat-shaped support layer 2 is suspended vertically movable.
  • at least one central telescopic support 16 is provided which extends between the two legs of the patient 1 to the level of his knee joints.
  • the support layer 2 With its upper side on a support 17 which is fixedly connected to the upper ends of the telescopic uprights 14, suspended resiliently via a plurality of tension elements 18.
  • two central telescopic supports 16 can be provided, one of these central telescopic supports 16 with one lateral telescopic support 15 being a suspension for the one thigh and the other central support 16 with the other lateral telescopic ⁇ telescope support 15 carries a suspension for the other thigh.
  • the rails 13A, 13B may be double T-shaped in cross section, and the telescoping posts 14, 15 are provided with lower legs 19 having a corresponding mating profile have with the slide ⁇ nenprofilen.
  • the feet 19 in the region of the front telescopic supports 15, 16 may further be firmly connected to each other as shown, whereas in the embodiment shown, the rear telescopic posts 14 are separately adjustable, so that, if necessary, in the case of a required oblique position of the back of the subject 1, a (slightly) different longitudinal position of the telescopic uprights 14 relative to the rails 13A, 13B, if necessary, can be adjusted.
  • FIG. 3 When using the device 11 according to FIG. 3 (ie FIGS. 3A and 3C) 3B) is shown by the suspension of the support layer 2 shown and the fixation on the body of the subject 1 a close nestling of the support layer 2 to the desired body areas (back, sides, hips, buttocks, bottom of the thigh) allows, and just ⁇ so is in the shown apparatus 11, a free access to just these body parts, namely on the outside of the support layer 2, given so as to allow a quick scanning of the shape of the support layer 2 at the back and bottom and thus scanning the body shape of the patient 1 in these body areas ,
  • a helper possibly two people are necessary to lift the patient 1, for example, from a (not shown) wheelchair in the already predetermined by the support layer 2 seat, after which with the aid of the fixing elements 9 and, if appropriate, the tension elements 18 and suspension elements 20 (see Fig. 3A) in the region of the front thighs, a close nestling against the body regions of the patient 1
  • the patient 1 is only suspended freely suspended on an upper support arm 22 projecting from a post 21, wherein the support post 2 supporting or receiving the patient 1 (eg, again according to FIG. 2C ) is suspended in the back region via short tension elements 18 on a modified horizontal support 17 ', which in turn via belts 23 with
  • the uprights 21 as the upper support arm 22 and the fork ends 26, 27 may be formed from rectangular profile tubes, as shown in FIGS. 4A and 4B can be seen.
  • the base 13 ', which carries the uprights 21 with the cantilevered support arm 22 is formed, for example, in plan view U-shaped.
  • the support layer 2 is laterally outside as well as between the two thighs also with the aid of straps or the like. Fixing elements 28, the Including adjustment 29, suspended from the beam 25.
  • the support layer 2 also called membrane 2 nestles, if it is made of the above-mentioned thin materials, such as latex, neoprene, plasticized tissue, plastic films, etc., be ⁇ to each Kirkaus- and -inbuchtung closely, as experiments have confirmed, so that a faultless scanning of the desired body areas of the patient 1 on the outside of the support ⁇ position or membrane 2 is possible. It is also in the
  • belt-like fixing elements 9 are provided, as shown in Fig. 4A can be seen.
  • the support layer 2 without the side of the upper body of the patient 1 extending portions 2 '', s. Fig. 1 and 2, may be formed so that a more or less "planar" back and bottom "membrane" 2 is given, see. also Fig. 6. This is sufficient if only a simpler seat shell adjustment for the respective patient 1 is desired.
  • a two-part embodiment of the backing layer 2 as in the ⁇ particular from Fig. 2C it can be seen, unnecessary and it is sufficient a simple support layer 2 made of a single material, such as a silk fabric, neoprene, from Elastosan etc ..
  • FIGs. 5A and 5B there is shown another device 11 for suspending support of a patient 1 for scanning, wherein this device 11 comprises a frame 12 ', which in the broadest sense can be regarded as a combination of the devices according to FIGS. 3 and 4, with a doubling of the uprights.
  • an upper horizontal beam 25 'a s a support for the suspension of the patient 1 between two U-shaped Dop pelstehern 21 A, 21 B attached;
  • the support layer 2 is suspended with its upper side via short tension members 18 to egg nem horizontal cross member 17. Furthermore, the upper side of the support layer or membrane 2 with its side parts on straps 23 ', with adjusting elements 24', suspended from the upper longitudinal support 25.
  • the straps 28 and 23 ' can be displaced in the longitudinal direction of the upper support 25' so as to adapt the suspension to the patient 1, for example with respect to its size and disability.
  • Another adaptation possibility he ⁇ is, as in the imple mentation form shown in FIG. 4, on the adjustment 24 ', 29 and on the longitudinal displacement of the Te leskop-uprights or supports 14 and 15, 16.
  • FIG. 6 a comparatively simple, planar design of a support layer 2 is shown, which is virtually all over elastic tension elements 18 to a frame 40 and a frame 40 be ⁇ consolidates.
  • An upper-side recess 2A is in turn provided for headroom, wherein it should be noted that optionally existing there portion 40A of the frame 40 from the patient 1 (not shown in Fig. 6) or from the head can be bent away, so as to keep the back of the head ,
  • the frame 40 in turn can be mounted on a frame 12 or 12 'comparable enem as shown in FIGS. 3, 4 and 5,

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

L'invention concerne un procédé et un dispositif de fabrication d'un dispositif de soutien adapté à la morphologie. La partie concernée du corps d'une personne (1), par exemple la partie dorsale, est explorée en trois dimensions au moyen d'un scanner (3) et les données fournies par le scanner sont utilisées pour le façonnage assisté par ordinateur du dispositif de soutien en fonction de la partie du corps considérée. Cette dernière est explorée au moyen d'un scanner (3) sensiblement dans la position qui est la sienne lors de l'utilisation du dispositif de soutien et, pour cela, elle est soutenue pendant l'exploration dans cette position de soutien à l'aide d'une couche de soutien (2) flexible qui épouse la forme de la partie du corps, par exemple un tissu ou un film. La couche de soutien (2) est tendue sur un châssis (12; 12') et l'exploration de la partie du corps se fait sur la face extérieure de la couche de soutien (2).
EP14719194.4A 2013-03-18 2014-03-18 Procédé et dispositif de fabrication d'un dispositif de soutien Not-in-force EP2975973B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ATA50181/2013A AT514093B1 (de) 2013-03-18 2013-03-18 Verfahren und Vorrichtung zum Herstellen einer Stützvorrichtung
PCT/AT2014/050067 WO2014146157A1 (fr) 2013-03-18 2014-03-18 Procédé et dispositif de fabrication d'un dispositif de soutien

Publications (2)

Publication Number Publication Date
EP2975973A1 true EP2975973A1 (fr) 2016-01-27
EP2975973B1 EP2975973B1 (fr) 2018-01-10

Family

ID=50548987

Family Applications (1)

Application Number Title Priority Date Filing Date
EP14719194.4A Not-in-force EP2975973B1 (fr) 2013-03-18 2014-03-18 Procédé et dispositif de fabrication d'un dispositif de soutien

Country Status (4)

Country Link
EP (1) EP2975973B1 (fr)
AT (1) AT514093B1 (fr)
NO (1) NO2975973T3 (fr)
WO (1) WO2014146157A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BE1024555B1 (nl) * 2017-02-09 2018-04-04 V!Go Nv Werkwijze en element voor het bepalen van de vorm voor een op maat gemaakte zitschaal
DE102017122378A1 (de) * 2017-09-27 2019-03-28 Göhler Sitzmöbel GmbH Sitzmöbel
CN110051509B (zh) * 2019-06-04 2021-07-06 河南科技大学第一附属医院 一种腿部护理用支撑装置

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Publication number Priority date Publication date Assignee Title
IE65087B1 (en) * 1987-05-13 1995-10-04 Joseph Mary Jacobsen "Measuring device"
US5816983A (en) * 1996-03-29 1998-10-06 Dawes; Charles R. Aerobic bouncing, exercising, stretching chair
WO1998030176A1 (fr) * 1997-01-08 1998-07-16 Clynch Technologies, Inc. Procede de production de dispositifs medicaux personnalises
DE19942979C2 (de) 1999-09-09 2003-12-24 Keiper Recaro Gmbh Co Verfahren zur Herstellung eines ergonomischen Fahrzeugsitzes
JPWO2005000172A1 (ja) * 2003-06-26 2006-08-03 株式会社プロテック 健康器具
US7255666B2 (en) * 2004-09-03 2007-08-14 Cardenas Anthony J Multi-function swing apparatus for total-body exercise, stretching, yoga, spinal traction, gymnastics, inversion therapy, spinal manipulation and weightless coupling and sky chair
GB0808365D0 (en) * 2008-05-08 2008-06-18 Tempus Computers Ltd A method of producing a support article, a support article and a support deviceincorporating the same
US8014001B2 (en) * 2008-09-25 2011-09-06 Prairie Seating Corporation Scanner system and method of measuring a surface topography
NL2002945C2 (nl) * 2009-05-29 2010-11-30 Perteon Seats B V Werkwijze voor het vervaardigen van een zitorthese uit een representatie van het contactvlak van de zitorthese en een op een dergelijke wijze vervaardigde zitorthese.
AU2009100708A4 (en) * 2009-07-22 2009-10-22 Cerebral Palsy League Of Queensland Pro-fit

Non-Patent Citations (1)

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Title
See references of WO2014146157A1 *

Also Published As

Publication number Publication date
NO2975973T3 (fr) 2018-06-09
AT514093B1 (de) 2015-08-15
AT514093A1 (de) 2014-10-15
EP2975973B1 (fr) 2018-01-10
WO2014146157A1 (fr) 2014-09-25

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